Individual
BAILEY RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4733 CHABOT DR STE 203, PLEASANTON, CA 94588-3972
(800) 403-3352
Mailing address
1029 PACIFIC AVE, ALAMEDA, CA 94501-2225
(510) 692-0243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
308933
CA
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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